By Tony C. K. Tham, John S. A. Collins, Roy Soetikno
The definitive reference advisor for the administration of gastrointestinal emergencies and endoscopic complicationsWhen you're taking good care of a sufferer with a gastrointestinal emergency – in the course of a process or after emergency stabilization – you could anticipate this up to date connection with provide the categorical how-to assistance you would like. Written and edited through top overseas specialists within the box, the second one version of Gastrointestinal Emergencies:now displays the numerous diagnostic and healing advances considering the fact that booklet of the 1st version covers the whole variety of gastrointestinal emergencies encountered in day-by-day scientific perform supplies evidence-based ways to the presentation, prognosis, research, and administration of sufferers positive aspects the $64000 contributions of latest editor Roy Soetikno, affiliate Professor of medication on the VA future health Care process, Palo Alto, CaliforniaAll practitioners all for gastrointestinal emergency care will locate transparent and succinct suggestion during this concise reference. each Emergency division and each endoscopy unit may still make a copy shut to hand for fast reference.
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Extra resources for Gastrointestinal Emergencies 2nd ed
Sample text
Serum lipase has a superior sensitivity and specificity for acute pancreatitis and where available is preferable to serum amylase for the diagnosis of acute pancreatitis. • Urea, electrolytes and blood glucose: Sodium will be low in cases of pain associated with prolonged vomiting and decreased fluid intake. • Liver function tests: Should be performed in patients with upper abdominal pain. • Urine pregnancy testing: Should be performed in women of reproductive age with lower abdominal pain. g.
Approach to the patient with abdominal pain. Textbook of Gastroenterology, 4th edition, Yamada T. Lippincott Williams & Wilkins, Philadelphia, 2003; 781–801. K. Tham Definition Jaundice is the abnormal accumulation of bilirubin in body tissues which occurs when the serum bilirubin level exceeds 50 µmol/L (3 mg/dL). Excess bilirubin causes a yellow tinting to the skin, sclera and mucous membranes. A basic knowledge of bilirubin metabolism is necessary to understand the investigations of jaundice (Fig.
Ultrasound is inconsistent in determining the site of obstruction, partly because the distal duct is not well seen in 30–50% of patients. In cases of acute obstruction it may take 4 hours to 4 days for the ducts to dilate. The ducts of some patients with partial or intermittent obstruction may not dilate. Ultrasound can detect space-occupying lesions greater than 1 cm in diameter. Computed tomography Computed tomography (CT) is not as accurate as ultrasound in detecting cholelithiasis. It can detect space-occupying lesions as small as 5 mm.